HomeMy WebLinkAbout172030 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362838 Page 1 of 1
ONE CIVIC SQUARE SCOTT HOMES CHECK AMOUNT: $795.00
CARMEL, INDIANA 46032 4637 SHADOW RIDGE BLVD
o� GREENWOOD IN 46143 CHECK NUMBER: 172030
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBE AMOUNT DESCRIPTION
651 5023990 20.00 OTHER EXPENSES
659 5023990 775.00 OTHER EXPENSES
I
CITY OF CARMEL
Ctem 1 of 1 PERMIT RECEIPT OPERATOR: plux 4
COPY 2
Sec:29 Twp:18 Rng:03 Sub:LTR Blk:l Lot:5
PARCEL ID ZLTR5
DATE ISSUED.......: 03/09/2009
RECEIPT 29856
REFERENCE ID 09030028
SITE ADDRESS 2586 MILANO DR
SUBDIVISION LAKES AT TOWNE ROAD, THE
CITY WESTFIELD
IMPACT AREA
OWNER SCOTT HOMES
ADDRESS 4637 SHADOW RIDGE BLVD
CITY /STATE /ZIP GREENWOOD, IN 46143
RECEIVED FROM SCOTT ESTRIDGE HOMES
CONTRACTOR LIC XJDHCON
COMPANY JDH CONTRACTING
ADDRESS 8109 NETWORK DR
CITY /STATE /ZIP PLAINFIELD, IN 46168
TELEPHONE (317) 839 -0520
FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL
JSEWERINSP FLAT RATE 1.00 20.00 0.00 20.00 0.00
JSFSEWCONN FLAT RATE 1.00 775.00 0.00 775.00 0.00
JSFWATCONN FLAT RATE 1.00 2615.00 0.00 2615.00 0.00
JWATERTAP FLAT RATE 1.00 86.00 0.00 86.00 0.00
COTAL PERMIT 3496.00 0.00 3496.00 0.00
METHOD OF PAYMENT AMOUNT NUMBER
-HECK 3496.00 3422
DOTAL RECEIPT 3496.00
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Prescribed by State Board Accounts ACCOUNTS PAYABLE VO CHE
Form No. 307 -S (Rev. 7995)
C 6 7
ADDRESS QOw V0 `L 04 QS E Uw I
Invoice Date Invoice Number Item Amount
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I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
Signahrrr. Title
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
19
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ACCT.
CARMEL, INDIANA No.
S� o n m j Of
Total Amount of Voucher
Deductions
Amount of Warrant e
Month of 19
Acct.
VOUCHER RECORD No.
Collection System
Operation
Plant A
C�
Commercial
General
J
Undistributed fl
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1- 800- 382 -8702 325